Radiologic Imaging in Trauma Patients with Cervical Spine Immobilization at a Pediatric Trauma Center.
J Emerg Med
; 57(4): 429-436, 2019 10.
Article
en En
| MEDLINE
| ID: mdl-31591076
ABSTRACT
BACKGROUND:
Pediatric trauma patients with cervical spine (CS) immobilization using a cervical collar often require procedural sedation (PS) for radiologic imaging. The limited ability to perform airway maneuvers while CS immobilized with a cervical collar is a concern for emergency department (ED) staff providing PS.OBJECTIVE:
To describe the use of PS and analgesia for radiologic imaging acquisition in pediatric trauma patients with CS immobilization.METHODS:
Retrospective medical record review of all trauma patients with CS immobilization at a high-volume pediatric trauma center was performed. Patient demographics, imaging modality, PS success, sedative and analgesia medications, and adverse events were analyzed. Patients intubated prior to arrival to the ED were excluded.RESULTS:
A total of 1417 patients with 1898 imaging encounters met our inclusion criteria. A total of 398 patients required more than one radiographic imaging procedure. The median age was 8 years (range 3.8-12.75 years). Computed tomography of the head was used in 974 of the 1898 patients (51.3%). A total of 956 of the 1898 patients (50.4%) required sedatives or analgesics for their radiographic imaging, with 875 (91.5%) requiring a single sedative or analgesic agent, and 81 (8.5%) requiring more than one medication. Airway obstruction was the most common adverse event, occurring in 5 of 956 patients (0.3%). All imaging procedures were successfully completed.CONCLUSION:
Only 50% of CS immobilized, nonintubated patients required a single sedative or analgesic medication for their radiologic imaging. Procedural success was high, with few adverse events.Palabras clave
Texto completo:
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Banco de datos:
MEDLINE
Asunto principal:
Radiología
/
Heridas y Lesiones
/
Restricción Física
/
Sedación Consciente
Tipo de estudio:
Observational_studies
Límite:
Adolescent
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
Idioma:
En
Año:
2019
Tipo del documento:
Article